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NPI Code Detail

MEDICARE: STEVEN WAYNE MORRISON LCSW

MEDICARE: STEVEN WAYNE MORRISON LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSWB-2023-0557NM

General Provider Information

NPI Number : 1568237840
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN WAYNE MORRISON LCSW
Provider Business Mailing Address
First Line : PO BOX 76
Second Line :
City : EL PRADO
State : NM
Zip : 87529-0076
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 259 BLUEBERRY HILL RD
Second Line :
City : EL PRADO
State : NM
Zip : 87529-7305
Country : US
Telephone Number : 575-425-1131
Fax Number : 575-613-1571
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2023
Last Update Date : 11/16/2023

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